Health care providers will be able to bill Medicare directly for inserting a Germantown company's implantable blood sugar monitor into patients under new federal policies for 2020.

Tagged with: Center for Medicare and Medicaid Services Eversense medicare Senseonics Holdings Inc.

Baltimore-based law firm Saiontz & Kirk P.A. paid more than $90,000 to the federal government to settle allegations that it failed to reimburse Medicare for conditional payments made on behalf of clients. The settlement, announced Monday by the U.S. Attorney’s ...

Tagged with: Eric Saiontz medicare Saiontz & Kirk Settlement u.s. attorney's office

A federal judge has ruled the state of Maryland can't force state retirees onto a federal prescription drug plan until a lawsuit is decided.

Tagged with: Larry Hogan medicare Peter Messitte

A lawsuit is challenging the state of Maryland's decision to move Medicare eligible retirees to Medicare Part D.

Tagged with: Brian Frosh Ed Kasemeyer lawsuit Maggie McIntosh medicare

Maryland’s hospital rate-setting board will consider the unprecedented step of asking the state’s private insurers to pay more to account for uncompensated care at the state’s hospitals, a reflection of more unpaid bills from patients facing growing out-of-pocket costs through their private insurance company.

Tagged with: all-payer CareFirst BlueCross BlueShield Health Services Cost Review Commission Maryland Hospital Association medicaid medicare

A group of Maryland hospitals shared $16.5 million as part of a settlement last year to resolve thousands of longstanding Medicare billing disputes, according to data newly released by the U.S. Centers for Medicare & Medicaid Services. MedStar Union Memorial Hospital received ...

Tagged with: Anne Arundel Medical Center medicare medstar health

A Frederick sales agent-turned-whistleblower will receive $2.2 million after alleging to federal agents that his former employer, NuVasive Inc., was marketing unapproved uses for its spinal-treatment device and improperly inducing doctors to treat patients with it at several Maryland hospitals, including Johns Hopkins and Montgomery General.

Tagged with: False Claims Act medicaid medical devices medicare

The federal government last week  released a new five-star rating system for home health agencies, hoping to bring clarity to a fast-growing but fragmented corner of the medical industry where it’s often difficult to distinguish good from bad. Medicare applied ...

Tagged with: medicare ratings

While Maryland’s experimental hospital payment system has seen early success — such as reported cost savings of more than $100 million during its first full year — officials say hard work lies ahead. In the program’s second year, the state ...

Tagged with: HSCRC Maryland Hospital Association MedChi medicare

The owner of Alpha Diagnostics, already facing charges for running a scheme to defraud Medicare, now faces life in prison after four patients died because their X-rays were not reviewed by a qualified radiologist, federal prosecutors announced Friday. A superseding indictment against Rafael Chikvashvili, 67, of Baltimore, alleges the X-rays were instead reviewed by employees of the mobile diagnostic services company who failed to detect "congestive heart failure, pneumonia, and a large pelvic mass revealed in the images."

Tagged with: crime fraud health care Law medicaid medicare